This is an A/U Story. I love the doctor and patient idea. I wouldve had Piper be the doctor but I think it would be interesting to see Alex as a doctor. I don't own any of the characters. Sorry for any mistakes in spelling or grammar. Hope you enjoy, Review for more updates! Thanks - Courtney

Chapter 1:

Alex took a deep breath and sighed. The night was unusually quiet for the emergency room, which made Alex believe there was going to be a disruption any minute. She enjoyed the silence more than anything. Just as she had anticipated, she saw the three paramedics rush through the large metal doors, carting a young blonde woman who couldn't be more than 23.

"ROOM ONE!" A paramedic shouted down the pale green hallway as they rushed a stretcher passed a group of three new interns. Their eyes grew wide with anticipation and they ran after the three men in navy blue jackets, labeled Litchfield EMS (Emergency Medical Services) in a bright white reflective material.

"Dr. Vause! We need you in room one!" an intern timidly shouted towards Alex. The new intern's name was Lorna Morello. She was a short, cute young woman that wore bright red lip stick and had a cute New Jersey accent. Her brown hair was neatly placed above her shoulders and almost always had a smile on her face. She had wide eyes as she studied the new patient. They were excited to finally have some action in the quiet yet full emergency room.

Alex walked up to the room, grabbing the chart off the bed as the paramedics moved the blonde to the bed as gracefully as they could for three grown men. Her face had been cut up and possibly bruised but she looked beautiful and Alex's heart fluttered for a minute. Alex shook her head lightly and looked down at the papers in her pale hands.

"What do we have here gentleman?" Alex mused, seemly uninterested at the new case before her. Alex had been working in the Emergency room for 3 years now and has seen almost everything that she could have possibly imagined and more. The interns tried to look busy but all crowded around the doctor.

"Car accident, she lost consciousness in the bus and appears to have a broken wrist and fractured ankle. There are multiple lacerations, on the head and chest. They cut the blondes white blouse off and next her dark blue washed out jeans which gripped her legs perfectly. Her chest was full of cuts, some large, others smaller. The blood already soaked through her shirt.

"Morello, stitch up the laceration on her head and… You..." Alex pointed to the other intern, forgetting her name. "Put some damn gauze on the cuts on her chest, I don't want her bleeding out because of a few cuts" Alex spat harshly at the intern who was just standing idly at the door, looking like a deer in head lights.

"Y-yes Dr. Vause" the intern quickly started dressing the blonde's chest with gauze pads. The intern knew the patient, it was her best friend Piper. She couldn't even speak when she saw the blonde enter the hospital. Her stomach dropped as she ran to her side. She couldn't even speak her name to let the doctor that she knew who she was.

The paramedics already had an IV in the girls arm and started her with fluids. They pulled out her wallet to look for Identification.

"The names Piper Chapman, age 23, lives in the city" A paramedic mentioned to the doctor as she stuck the ID back in her wallet. Alex read his jacket, his last name was Caputo. He was just slightly taller than Alex, with a horrific looking moustache and toothy smile.

"Thanks… Caputo... " She wondered momentarily if she pronounced it correctly and then shrugged after realizing she didn't care if it was correct.

"The names Joe" He smiled at her. Alex tried to hide her disgust and tried her best to smile back. It ended up looking the equivalent to a frown.

"I'm ordering a X-ray, and CT scan." Alex said aloud to no one in particular. The paramedics made sure she was stable and left the room with the stretcher. Another doctor entered the room and put an oxygen mask on her face, in case she woke up and started to panic. Most people who fall unconscious get frightened when waking up in a hospital with new people around them, touching them and most of all, in pain.

"after the X-ray, let's get a cast for her wrist and possibly for her ankle as well, be careful with it, they are both probably broken." Alex said aloud.

The nervous intern finished dressing her best friend's chest and took her blood pressure, temperature and heart rate again.

"Blood pressure is slightly low, no fever and heart rate is becoming more stable." She announced with confidence and relief.

Alex looked at her briefly and then back down to Piper's chart. She had a feeling the intern was trying to impress her, but no one gave Alex a standing ovation for doing her job correctly, so she decided not to placate the newbies.

"Okay, let me know if she wakes up and make sure she gets down to the scans ASAP." Alex turned to leave the room, trying to remember what the interns name was.

"Hey, Morello, where is Nicky?" Alex suddenly realized there was one intern missing from the group. Nicky Nichols was easily Alex's favorite intern, but she was never around when Alex needed her. She caught her sleeping in the on-call room, flirting with some of the female patients and even outside smoking what she claimed to be a cigarette. Alex wondered how she even made it through one year of med school, let alone becoming an intern. She grew to love Nicky, but hated her as an intern. Nicky was the first one to join Alex, then following Morello and then….

"HARPER!" Alex exclaimed. She remembered the new intern's name. Polly jumped at Alex's deep voice.

"Y-yes?" She briefly looked up at Alex, and then back to her best friend.

"Oh… uh... nothing" Alex felt a little embarrassed for her sudden outburst.

"Dr. Vause... is it okay if I am the one to stay with Piper… shes… uh- actually my best friend…" Polly admitted sheepishly

"Why didn't you speak up then kid? Yeah that's fine, just make sure you do your job, and don't forget to page me when she wakes up." Alex knew it wouldn't be long before she came to, her injuries were being treated and unless there was damage on the inside, she probably passed out from being scared and losing a little blood. It happened often. Something made Alex want to stay in the room until she woke up, but she knew she had other patients to see and Polly would page her.

"And someone please find fuckin' Nichols!" She yelled impatiently as she walked out of the room where the beautiful blonde laid. Alex thought the patient was very beautiful but it wasn't the first time a hot blonde passed through the emergency room. She shook it off and kept walking to the nurse's station where she filled out charts.

About an hour passed before she heard footsteps coming towards her.

"Heard you were lookin' for me boss?" Nicky looked at her with a smirk, knowing Alex wouldn't punish her. She started her sentence off as a statement but turned it into a question when she saw Alex's blank face.

"Yeah where did you run off to now? Playing tonsil hockey with the patient in room 5?" Alex laughed loudly as she spoke. Her laugh made Nicky's expression soften slightly.

"Oh man, no way, that's gross, the girl is in here for some sort of STD outbreak…" Nicky shuddered at the thought.

"Oh so you already tried?" Alex raised an eyebrow and smirked.

"I might have looked at the charts, y'know, to 'get to know the patient better' " Nicky looked at Alex in her best, professional face she could possibly muster.

"Right Nichols, well tell you what, go check and see if the patient is awake in room one and ill consider not kicking your ass for bailing when she was rushed through the doors" Alex looked back down at her paper, trying not to show any emotion as she thought about the blonde being awake. It made her stomach flutter to think about it.

"Got it Vause." Nicky saluted her before turning around to check on Piper.

"DOCTOR VAUSE TO YOU NICHOLS!" Alex shouted after her and shook her head.

A few moments later Nicky returned to the nurses station.

"Yeah she's awake alright, talking the newbie interns head off. You'd think they were best friends!" Nicky put a hand up to her head, signaling she already had a head ache.

Alex frowned and made a small growl sound. Polly was supposed to page her as soon as the patient woke up. Alex raised out of her seat and stalked towards the blonde's room.